Pediatric Nursing Cardiovascular NCLEX Practice Quiz

Pediatric Nursing Cardiovascular NCLEX Practice Quiz Related

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A 12-year-old child whose body mass index (BMI) is greater than the 95th percentile has a blood pressure at the 98th percentile for age, sex, and height. After lifestyle changes that include diet and exercise, the child's BMI drops to the 90th percentile, but the blood pressure remains the same. What is the primary care pediatric nurse practitioner's next step in treating this child?

  • A. Continued close monitoring of blood pressure
  • B. Ordering an echocardiogram
  • C. Prescribing an ACE inhibitor medication
  • D. Referral to a nephrologist or cardiologist
Correct Answer: D

Rationale: Children who have persistent BP elevation after lifestyle changes are made should be referred to a nephrologist or cardiologist who has experience using antihypertensive agents in children.

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Which of the following children are abnormal?

  • A. 18-month-old who is able to put three blocks on top of each other and has a 2-word vocabulary
  • B. 3-month-old who has just attained good head control, and is reaching for objects
  • C. 5-year-old with difficulty in reading sentences from a book
  • D. Bottom-shuffler who is still not walking at 16 months
Correct Answer: C

Rationale: A 5-year-old with difficulty reading sentences from a book may indicate a developmental or learning disorder, which is considered abnormal for that age.

Nurse Alice is providing cardiopulmonary resuscitation (CPR) to a child, age 4. the nurse should:

  • A. Compress the sternum with both hands at a depth of 1½ to 2” (4 to 5 cm)
  • B. Deliver 12 breaths/minute
  • C. Perform only two-person CPR
  • D. Use the heel of one hand for sternal compressions
Correct Answer: D

Rationale: For a 4-year-old, the heel of one hand is appropriate for sternal compressions to achieve the correct depth and avoid injury.

Normal Heart

  • A. Ventricular septal depolarization occurs from Lt ï‚® Rt
  • B. During tachycardia diastolic time reduced than systolic time
Correct Answer: B

Rationale: During tachycardia, diastolic time is significantly reduced compared to systolic time.

The nurse is teaching a client with glomerulonephritis about self-care. Which dietary recommendations should the nurse encourage the client to follow?

  • A. Increase intake of high-fiber foods, such as bran cereal
  • B. Restrict protein intake by limiting meats and other high-protein foods
  • C. Limit oral fluid intake to 500 ml per day
  • D. Increase intake of potassium-rich foods such as bananas or cantaloupe
Correct Answer: B

Rationale: Reducing protein intake helps decrease the workload on the kidneys, which is beneficial in glomerulonephritis.

Hereditary angioneurotic oedema (HANE):

  • A. Deficiency of CI esterase occurs
  • B. Can present as recurrent abdominal pain
  • C. C4 is increased
  • D. Androgen agonists are helpful in management
Correct Answer: A

Rationale: Deficiency of CI esterase occurs

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